Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,630.27 / $8,511.38	Facility		$794.33	$2,630.27	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,258.93	Professional		$870.96	$1,047.13	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $10,715.19 / $13,182.57	Facility		$8,128.31	$10,715.19	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,380.38	Professional		$831.76	$1,000.00	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,174.90 / $1,380.38	Facility		$831.76	$1,174.90	$1,380.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,412.54	Professional		$851.14	$1,202.26	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,174.90 / $1,584.89	Facility		$34.67	$1,174.90	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $6,165.95	Professional		$954.99	$1,548.82	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,754.23 / $6,309.57	Facility		$602.56	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $1,819.70	Professional		$831.76	$1,230.27	$1,819.70